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InSTEDD Tools for Outbreak Epidemiology

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We create (or find) free and open-source software for collaboration toward collective action. We then teach other people how to create it for themselves Slide

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Slide Questions in outbreak epidemiology What information isn’t getting to those who need it? Which groups should be making more decisions together ? What field reports and broadcast alerts should come faster ? Which systems need to share information? Collaboration… How much can we learn from what we already have ?

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Slide <ul><li>Problem </li></ul><ul><ul><li>Agencies can’t (or won’t) communicate effectively in crisis </li></ul></ul><ul><li>Requirements for the technical problem </li></ul><ul><ul><li>Software that is effective, free, standards-based, easy to use, sustainable, and thoroughly interoperable </li></ul></ul><ul><li>Specifications </li></ul><ul><ul><li>Must have voices from WHO, US-CDC, UNICEF, MoH, OCHA, UNOSAT, ISDR, Relief Web, and many more involved in the design </li></ul></ul><ul><li>Development </li></ul><ul><ul><li>We’ve built four free and open-source tools as prototypes for improved collaboration in crisis. They address the gaps we identified. </li></ul></ul><ul><li>Implementation </li></ul><ul><ul><li>Field evaluation in progress with all four, plus a website now up </li></ul></ul><ul><ul><li>Educational model for introducing disruptive technologies </li></ul></ul>Collaboration pathway

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What we need to see… <ul><li>A young village health worker on her rounds finds a bleeding mother and two children. The man is missing. </li></ul><ul><li>She sends an SMS with the location, an explanation, and the tag “bleeding”, then isolates the home </li></ul><ul><li>The SMS is received and triggers a cascade of events, including the dispatching of a Rapid Response Team and notification of both the Health Minister and the health worker’s nearest hospital. </li></ul><ul><li>The health worker receives an SMS telling her the message was received, and providing urgent management advice for suspected hemorrhagic viruses </li></ul><ul><li>The SMS from the health worker appears in a stream of messages that include recent monkey smuggling, and food insecurity leading to harvesting bushmeat. It is spotted by the surveillance software bots, combined with other information, and hypotheses are proposed. </li></ul><ul><li>A team of MDs, nurses, vets, logisticians, and others work together to plan and implement a response, entering information only once. </li></ul>Slide

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When that village health worker finds a bleeding family… <ul><li>(GeoChat) She has to notify someone </li></ul><ul><ul><li>And others need to learn of the problem </li></ul></ul><ul><ul><li>The health worker needs to know she’s been heard </li></ul></ul><ul><li>(Mesh4x) Spreadsheets, maps, and databases need the information </li></ul><ul><ul><li>Synchronized as changes are made to ensure a common picture </li></ul></ul><ul><li>(Riff) A team needs to evaluate the significance, and they need context to sort it out </li></ul><ul><ul><li>They need to see each other and what else is known </li></ul></ul><ul><li>(RNA) Decision-makers need tools for event detection, hypothesis testing and planning </li></ul><ul><ul><li>Human and machine based decision support </li></ul></ul>

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GeoChat <ul><li>Mobile-based reporting with (some) language support </li></ul><ul><li>Web-based mapping, mining, and chat </li></ul><ul><li>Vertical and horizontal alerts </li></ul><ul><ul><li>Multiple levels, multiple groups </li></ul></ul><ul><li>Geo-tagging and topic tagging </li></ul><ul><li>Any cell phone that can use SMS </li></ul><ul><li>96% of the world’s ISPs now supported </li></ul>Slide Joining a GeoChat group in Cambodia

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Mesh4x: Imagine an outbreak response in the field… <ul><li>Lots of information collected, working with many partners </li></ul><ul><li>Political and collegial will to share, but </li></ul><ul><ul><li>Different software applications between agencies </li></ul></ul><ul><ul><li>Little or no internet connectivity (many modes, very flexible) </li></ul></ul><ul><li>Mesh4x lets you: </li></ul><ul><ul><li>Choose the information to share </li></ul></ul><ul><ul><li>Identify the various applications holding it </li></ul></ul><ul><ul><li>Identify the various computers holding it </li></ul></ul><ul><ul><li>Synchronize it all, over multiple modes (even just SMS!) </li></ul></ul><ul><ul><ul><li>Excel, Google Earth, Access, ESRI ArcX, MySQL, etc. </li></ul></ul></ul>Over to Taha…

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Slide In Southeast Asia <ul><li>Invited by Mekong Basin Disease Surveillance Network (MBDS) to support technology for surveillance and response </li></ul><ul><li>Started in Cambodia with CDC because Cambodia is the technology lead. </li></ul><ul><li>Supporting the entire region. </li></ul>